200 research outputs found

    Institutionalization of IT Compliance: A Longitudinal Study

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    Against a backdrop of serious corporate and mutual fund scandals, governmental bodies, institutional and private investors have demanded more effective corporate governance structures procedures and systems. The compliance function is now an integral part of corporate policy and practice. This paper presents the findings from a longitudinal qualitative research study on the introduction of an IT-based investment management system at four client sites. Using institutional theory to analyze our data, we find the process of institutionalization follows a non-linear pathway where regulative, normative and cultural forces within the investment management industry produce conflicting organizational behaviours and outcomes

    Value Creation from Application Service Provisioning: Lessons from Four Vendor Firms

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    This paper embraces the electronic business model concept as the unit of analysis for investigating application service providers (ASPs). It develops three constructs fundamental to the ASP business model: strategic positioning, product/service portfolio, and customer value proposition. Four short case study examples of different ASP business models are discussed. The findings suggest that, despite firm efforts to strategically differentiate their ASP business model from their rivals, each failed to provide the customer with an attractive value proposition to achieve a sustainable competitive position

    Translating Health IT Policy into Practice in the UK National Health Service

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    The challenge to provide a nation-wide integrated health service is central to UK government policy. The National Programme for Information Technology was launched in 2002 to transform healthcare using information and communications technology. As the largest, non-military, non-scientific government funded IT programme worldwide, it was planned over a decade with an estimated total cost expected to exceed £20bn. This paper is a longitudinal study of the National Care Record Service, which was the largest part of the programme, aimed to provide 50 million UK (English) citizens with an electronic health record. Using episodic interviewing techniques over ten years and secondary source material, the findings reveal a series of IT policy changes to the original Programme. Delays to roll out electronic health records are linked to issues about procurement strategies with IT suppliers, benefits realisation, risk assessment and clinical engagement. This study extends academic work on the deployment of large scale, long-term publicly funded IT projects, which go beyond the technical imperative to transform healthcare. Findings suggest government agencies need to embed cultural, social and economic criteria into health IT policy-making. Tracking this Programme for a decade, we observe how a centralised, top-down approach was replaced by localised IT procurement and implementation, giving NHS organisations more decision-making powers. However, the Programme was beset by continuous policy changes affecting the structure, organisation and IT of the NHS, where attempts to achieve benefits finally resulted in the break-up of the Programme

    THE ROLE OF RULES-BASED COMPLIANCE SYSTEMS IN THE NEW EU REGUALTORY LANDSACPE: PERSPECTIVES OF INSTITUTIONAL CHANGE AND AGENCY

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    The financial crisis of 2007-2009 and the subsequent reaction of the G20 have created a new global regulatory landscape. Within the EU, change of regulatory institutions is ongoing. The research objective of this study is to understand how institutional changes to the EU regulatory landscape may affect corresponding institutionalized operational practices within financial organizations and to understand the role of agency within this process. Our motivation is to provide insight into these changes from an operational management perspective, as well as to test Thelen and Mahoney?s (2010) modes of institutional change. Consequently, the study researched implementations of an Investment Management System with a rules-based compliance module within financial organizations. The research consulted compliance and risk managers, as well as systems experts. The study suggests that prescriptive regulations are likely to create isomorphic configurations of rules-based compliance systems, which consequently will enable the institutionalization of associated compliance practices. The study reveals the ability of some agents within financial organizations to control the impact of regulatory institutions, not directly, but through the systems and processes they adopt to meet requirements. Furthermore, the research highlights the boundaries and relationships between each mode of change as future avenues of research

    Introduction to Senior\u27s Use of Health Information Technology Minitrack

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    Exploring the Supply-Side of Web Services: The Need for Market Positioning

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    Web services are emerging as a new paradigm for integrating business processes across heterogeneous computing environments. They are expected to alleviate the perennial problem of interoperability of software applications, which results in data and information silos. Many application service providers have repositioned themselves as Web services providers to compete in this highly volatile industry. This paper focuses upon the supply-side of Web services, utilizing four constructs: market positioning, partnerships and alliances, products and services, and integration. It presents the findings from survey research into 190 technology sector firms, which indicate that Web service firms will need to strengthen their market positioning if they are to develop strong partnerships and alliances with leading technology firms

    The Application Service Providers Business Model: Issues and Challenges

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    A CROSS-COUNTRY STUDY OF CLOUD COMPUTING POLICY AND REGULATION IN HEALTHCARE

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    International health IT policy currently supports the move towards cloud computing. Governments, industry leaders and advocacy groups are keen to build confidence among health professionals to adopt cloud-based solutions in healthcare. However, the potential benefits from cloud computing need to be evaluated against the risks. This research is a comparative study on U.S and EU health professionals´ views on the potential benefits and risks from cloud computing. The results from surveying healthcare organizations in the U.S and five EU countries (France, Germany, the Netherlands, Sweden and the UK) identify differences across countries in health IT policy, incentives for adoption, privacy and security, and trust in third party suppliers. Our findings show that privacy and security are important issus for healthcare organizations, yet differences exist between the U.S and across EU Member States in how these concepts are viewed. U.S laws and EU Directives on data protection are more advanced than other international regulatory systems. Our study provides insights on cross-jurisdictional approaches to personal data and privacy, regulations and rules on health data export, how countries interpret and implement different data protection regulations and rules, and the practical implementation of regulatory rules using a comparative research method. \
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